National Provider Identifier
Shayla Tatham
Shayla Tatham is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Cuba, NY and a listed phone number of (585) 968-1628.
Profile Overview
- NPI
- 1407549066
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 31, 2023
- Last Updated
- May 31, 2023
Practice Location
- 45 W Main St
- Cuba, NY 14727-1403
Phone: (585) 968-1628
Mailing Address
- 535 Main St
- Olean, NY 14760-1500
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1407549066
- Entity Type
- Individual
- Last Name
- Tatham
- First Name
- Shayla
- Mailing Street Address
- 535 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1500
- Mailing Country
- US
- Practice Street Address
- 45 W Main St
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-1403
- Practice Country
- US
- Practice Phone
- (585) 968-1628
- Enumeration Date
- May 31, 2023
- Last Updated
- May 31, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)